Melissa Webb, MD
Pediatric Cardiology Physician · Houston, TX 77030 · NPI 1053554956 · 1 payer file
110%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Melissa Webb, MD $105.96 for a 99213 — Office visit, established patient, low complexity. Medicare pays $96.33 for the same service in this locality. Commercial insurance is widely assumed to pay above Medicare. The file lists 16 contract rows for this clinician and code, from $73.56 to $126.47; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pediatric cardiology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $105.96median of 16 rows · $73.56–$126.47 | $96.33 | 110% | above 28% of 84 Houston pediatric cardiology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $153.27median of 16 rows · $108.33–$178.40 | $137.41 | 112% | above 27% of 85 Houston pediatric cardiology physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pediatric cardiology physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $94.72median of 16 rows · $83.86–$103.35 | $82.68 | 115% | not typically billed by pediatric cardiology physicians |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that Melissa Webb, MD performs these services, and they are kept out of the benchmark above.